Understanding Barriers and Facilitators to Behavior Change After Implementation of an Interdisciplinary Surgical Non-Technical Skills Training Program in Rwanda

The utility of urological clinical and simulation training for Sub‐Saharan Africa

“…A definition of the need to increase local teaching capacity, engagement between local and international collaborators, a meticulous choice of a context-appropriate curriculum and equipment were shown to be fundamental to any programme's success [53]. In addition, the implementation of a Non-Technical Skills course for Surgeons addressing the Variable-Resource Context (NOTSS-VRC) in Rwanda improved team dynamics, safer patient care, and empowerment according to participants [54]. Those who participated identified that implementing non-technical skills in clinical practice was made more successful by working with others who had been trained in NOTSS, by anticipating what would come up, and planning ahead of time; while the lack of interdisciplinary communication, hierarchy, workload, and limited facilities affected NOTSS implementation [54].…”

“…In addition, the implementation of a Non-Technical Skills course for Surgeons addressing the Variable-Resource Context (NOTSS-VRC) in Rwanda improved team dynamics, safer patient care, and empowerment according to participants [54]. Those who participated identified that implementing non-technical skills in clinical practice was made more successful by working with others who had been trained in NOTSS, by anticipating what would come up, and planning ahead of time; while the lack of interdisciplinary communication, hierarchy, workload, and limited facilities affected NOTSS implementation [54]. A recently published review outlined the theoretical and methodological methods needed to conduct effective, robust implementation studies in LMICs [55].…”

Strategies for Improving Quality and Safety in Global Health: Lessons From Nontechnical Skills for Surgery Implementation in Rwanda

“…In addition, the training was perceived as “enjoyable, practical and informative” by the course participants. 8 Furthermore, Abahuje et al 17 found that after completing a NOTSS program, participants were able to translate NTS in a clinical environment, and they perceived that the NOTSS program empowered them to speak up and helped them to improve team dynamics and to provide safe patient care. Similarly, Mossenson et al 18 evaluated the impact of the Vitals Anesthesia Simulation Training (VAST) course in Rwanda.…”

“…Most of these barriers can be addressed by the effective implementation of a NOTSS teaching program. 17 …”

Learning NOTSS While Tying Knots: Integrating the Nontechnical Skills for Surgeons Course With Technical Surgical Skills Training, A Mixed Methods Study

“…3 NOTSS training has been found to be associated with improved team dynamics, technical, and nontechnical skills performance. 4,5 Instructors use various methods to teach nontechnical skills. These methods can be either classroom-based, online, or simulation-based.…”